2017-18 Satisfactory Academic Progress Appeal form

Satisfactory Academic Progress Appeal
2017-2018
(Appeal for Reinstatement of Financial Aid)
Student Name: __________________________________ Student ID: _______________ Telephone Number: __________________
Students who wish to appeal the loss of their financial aid eligibility should complete this form, write a letter explaining the reason for
not meeting the standards of Satisfactory Academic Progress and attach supporting documentation. Appeals submitted without all
required documents will not be considered. Completed forms should be delivered by the student to a campus financial aid office with
all supporting documents. (It is Important that the student meet with a financial aid advisor to review the appeal and documentation.)
For more information about the Standards of Satisfactory Academic Progress (SAP) go to http://web.tcc.edu/students/finaid/sap.htm.
(The typed, signed, and dated detailed explanation of why you failed to meet the Standards of Satisfactory Academic Progress, what has changed,
and details on your plan to become academically successful is required.)
Students may appeal the loss of their financial aid due to unusual mitigating circumstances. Please indicate the reason(s) for this
appeal by checking one of the below:
Personal illness or illness of an immediate family member. (Attach documentation from a physician attesting to the
medical condition and/or copies of hospital records.)
The death of an immediate family member. (Attach a copy of the obituary or death certificate.) Provide the
relationship of the relative: _____________________________
Other circumstances. Attach copies of supporting documents (i.e. court records, police reports, or
letter(s) from a counselor, teacher, or an unbiased third party.) (Letters from family and friends are generally not
acceptable forms of documentation.)
I am requesting that my financial aid eligibility be reinstated beginning with the following term (select only one term):
Academic Year 2016-2017 (check one): Fall 2016 __________ Spring 2017 __________ Summer 2017 __________
Certification – Signature and Date (read and initial each item):
___ I understand that submission of this appeal does not guarantee that my financial aid will be reinstated.
___ I understand that I if my SAP appeal is approved, I may be required to see an academic advisor.
___ I understand that this appeal may take 15 business days or longer to review.
___ I understand that if my appeal is approved, I may have enrollment stipulations outlined in an Academic Plan that must be
followed in order for me to remain eligible for federal student aid.
Signature:
Date:
Satisfactory Academic Progress (SAP) probation may only be granted by a financial aid administrator with the authority to exercise professional
judgement on behalf of Tidewater Community College.
2016-2017 Academic Year
_____ I approve this student to be placed on Satisfactory
Academic Progress (SAP) _____ probation _____Academic
Plan for the semester(s) referenced:
Probation Term:
Fall ____ Spring _____ Summer ____
Academic Plan Terms: Fall ____ Spring _____ Summer ____
Fall ____ Spring _____ Summer ____
Campus: Virginia Beach Portsmouth Chesapeake
Norfolk
Office Use Only:
Signature:
_____ I do not approve this student to be placed on Satisfactory
Academic Progress (SAP) probation or an academic plan.
Comment: ___________________________________________
____________________________________________________
____________________________________________________
Date:
CFA 4/07/17
Writing an appropriate SAP Appeal Letter
Your satisfactory academic progress (SAP) appeal explanation must include the following:
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Explain what happened
Why were you unable to maintain satisfactory progress?
Take a hard look at your situation to determine what has kept you from making satisfactory academic progress. Explain the
circumstances for all semesters where there was poor performance.
Explain what has changed
Have the circumstances been resolved or what corrective measures have you taken to achieve satisfactory academic
progress?
Develop a success plan
What strategies will you use to maintain academic success?
Attach any relevant supporting documentation
This may include a doctor’s statement, copy of hospital/urgent care/physician’s bill, obituary, funeral notice or death
certificate, etc.
Circumstance
Work Related
Required overtime, required
change in work schedule
Layoff/job loss
Medical
Condition
Student’s Child
Additional
Circumstances
Documentation
 Letter from employer including effective date(s) and whether the change
in hours was mandatory
 Timesheets from employer for applicable period(s)
 Letter from employer
 Separation/severance letter
Serious illness or change in
health status
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Letter stating doctor-advised period of home rest
Record of doctor visits
Surgery/Hospitalization
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Surgery/hospitalization records
Copies of medical bills documenting illness/injury
Letter stating doctor-advised period of recovery
Record of doctor visits
Mental health issue
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Letter from doctor, therapist, or counselor
Dental emergency
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Record of dental visits
Letter from dentist
Letter stating dentist-advised period of recovery
Child’s medical condition
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Records from daycare/school that the sick child was required to be kept
home for extended period(s), including the dates.
Record of doctor visits
Letter stating doctor-advised period of recovery
Hospitalization records
Childcare/daycare issue
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Letter from former daycare provider
Letter from current daycare provider
If the childcare provider is a relative, the letter must be notarized
Death of an immediate relative or
loved one
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Obituary or funeral program
Letter from counselor
Documentation should include date and indicate the student’s
relationship to the deceased
Eviction
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Eviction notice
Letter from transitional housing program
Police report
Court documentation
Letter from clergy, social worker, counselor, or doctor
Assault/domestic violence
CFA 4/07/17